Amanda Kozlowski, LCSW, CADC

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

477 E Butterfield Rd Ste 212
Lombard, IL 60148-4879

Phone

(630) 335-4209

NPI assigned

Mar 12, 2018

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: amanda.kozlowski2@eehealth.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bricolage Wellness, LLC

  • Mental Health Counselor
  • Lombard, IL
  • NPI 1619493855
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1520812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1407359987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5805 OAKWOOD DR APT B",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605322932",
            "telephone_number": "630-335-4209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "477 E BUTTERFIELD RD STE 212",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601484879",
            "telephone_number": "630-335-4209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOZLOWSKI",
        "first_name": "AMANDA",
        "credential": "LCSW, CADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-12",
        "last_updated": "2023-11-27",
        "certification_date": "2020-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Amanda.Kozlowski2@eehealth.org",
            "affiliation": "Y",
            "endpointDescription": "work e-mail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "e-mail",
            "address_1": "801 S Washington St",
            "city": "Naperville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605407430",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amanda@bricolage-wellness.com",
            "affiliation": "Y",
            "endpointDescription": "work e-mail",
            "affiliationName": "Bricolage Wellness, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "referrals, clinical questions",
            "address_1": "477 E Butterfield Rd Ste 212",
            "city": "Lombard",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601484879",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Konrad Kordylasinski, M.S., BCBA
• Yuri Korvatko, DC
• David Kosar
• Desirae Kotnik, RN
• Nicole S Kott, D.D.S
• Teresa Kozuch
• Michael Kreuzer, BA
• Jennifer Krichbaum
• Kristine C Hudzik
• Chanadda Krueger

• Social Worker in Lombard, IL
• Providers in Lombard, IL by specialty
• Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.